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General NPI Number Information
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NPI Number | 1184932964
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Entity Type | Individual
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Provider Name | CASEEM MICHAELS CASEEM MICHAELS
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Gender | Male
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 2123 W DR LUTHER KING DR BLVD #103
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 813-873-1361
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Fax |
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Provider Business Mailing Address
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Address Line | 2123 W DR MARTIN LUTHER KING DR BLVD 103
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City | TAMPA
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State | FL
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Zip | 33607
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Country | US
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Telephone | 352-684-0820
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 1188JTC
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | FL
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